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Insured's Name

First Name

Last Name

Insured's Phone

(###)

###

####

Insured's Email

2nd Insured's Name

First Name

Last Name

2nd Insured's Phone

(###)

###

####

2nd Insured's Email

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Insurance Company

Mortgage Company

If none, please put "N/A"

Cause of Loss

Date of Loss

If unsure, please give best educated guess.

YYYY

Claim Number

Please write N/A if not available.

Policy Number

Do you have exterior damage?

Yes

Unknown

If there is exterior damage, please provide brief description of damages.

If exterior damages are present, do you know how old your roof/siding is?

Do you have interior damage?

Yes

Unknown

If there is interior damage, please provide brief description of damages.

Do you have any prior claims related to this loss?

Yes

Do you have a local agent? If so, please let us know who it is.

If possible, please list their name, number, and email.

Did someone refer you?

Please list their full name here.

Client Stories

Keathley Claims Consultants 1/8/25 Keathley Claims Consultants 1/8/25

10 Ways A House Covered In Snow & Ice Can Be Damaged

Winter wonderlands can be beautiful, but snow and ice can wreak havoc on your home if you're not prepared. Here are 10 ways snow and ice can damage your house, along with tips to prevent costly repairs.

Keathley Claims Consultants 11/12/24 Keathley Claims Consultants 11/12/24

The 10 Biggest Myths of Home Insurance

Home insurance is a crucial aspect of protecting your property, yet many homeowners operate under misconceptions that can lead to inadequate coverage or unexpected costs. The sad reality is, most people do not actually know what, how, or why their insurance covers what it does. Here’s a look at ten of the most common myths about home insurance, along with the truths behind them.

Keathley Claims Consultants 10/15/24 Keathley Claims Consultants 10/15/24

Translating Your Policy: How To Read Your Homeowner Policy

Navigating your home insurance documents can seem overwhelming, but understanding your homeowners insurance policy can simplify the process. This article will guide you through the key elements of your policy & will help you feel more knowledgeable about your insurance.

Keathley Claims Consultants 5/28/24 Keathley Claims Consultants 5/28/24

Empowering the Underdog: Keathley Claims Consultants

This article is about who Keathley Claims Consultants is and why we are in the business of helping people as public adjusters.

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Client Stories

10 Ways A House Covered In Snow & Ice Can Be Damaged

The 10 Biggest Myths of Home Insurance

Translating Your Policy: How To Read Your Homeowner Policy

Empowering the Underdog: Keathley Claims Consultants

Start Your Claim Process Now & Get Inspection Priority Today!

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